Registered Nurse - Home Care

JOB SUMMARY :

Provides direct patient care to adult or pediatric patients at the home setting. To carry out clinical practice ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions and evaluations for patients are provided from admission through to discharge.

ESSENTIAL FUNCTIONS/RESPONSIBILITIES

Clinical Care

• Assesses initially the patient’s condition and family to determine home care needs and identify a complete physical assessment and history of current and previous illness (es).
• Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
• Review and updates as needed the comprehensive assessment, clinical notes, Physician Summaries, Plan of Care and communicates patient status changes and updates to the primary physician regularly.
• Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
• Uses health assessment data to determine nursing diagnosis.
• Follows the medication rights to reduce the potential for medication errors.
• Monitors the patient’s progress toward goals; collaborates with the multi – disciplinary team to promote patient safety and compliance to the Plan of Care.
• Initiates appropriate preventive and clinical nursing procedures. Administers medications and treatments as prescribed by the physician.
• Counsels the patient and family in meeting nursing and related needs.
• Provides clinical oversight and supervision of Practical Nurses and Care Givers.
• Provides skilled care and instructions to the patient as appropriate per assessment and plan of care.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
• Demonstrates ability to organize and prioritize workload independently
• To work with members of the multi-disciplinary team, to ensure optimal outcomes for the patient.
• Demonstrates the ability to be flexible, organized and function under stressful situations.
• Adheres to dress code; appearance is professional, neat and clean.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within the designated time.
• Is responsible to maintain up to date clinical knowledge and self-directed ongoing education.
• Complies with all organizational policies.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.